Allergy & Immunology Billing Services in Florida

Florida's healthcare market includes 70,000+ physicians, and allergy & immunology practices here face a payer market dominated by Florida Blue (BCBS of Florida) on the commercial side and Statewide Medicaid Managed Care on the public payer side. Medicare claims are processed through First Coast Service Options, which applies its own Local Coverage Determinations that directly affect allergy & immunology procedure coverage and medical necessity requirements. Generic billing teams without FL specific knowledge leave revenue on the table.

Allergy & Immunology billing itself is complex. Allergy and immunology billing revolves around allergy testing codes (95004 percutaneous, 95024 intracutaneous, 95044 patch testing), immunotherapy administration (95115-95117 for injections, 95120-95134 for professional services with provision of antigen), biologic medication J-codes for severe allergic conditions, and pulmonary function testing (94010-94070). Test count accuracy is critical — each allergy test is billed per individual allergen, and a typical testing session involves 40-80 individual tests. When you combine this coding complexity with Florida's specific payer rules, authorization requirements, and 5 Statewide Medicaid Managed Care managed care plans that each have their own billing rules, you need a team that understands both dimensions. Go Medical Billing provides that expertise at 2.49% of collections, serving allergy & immunology practices from Miami to Tallahassee and across Florida.